Hatem M Hossino MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

10690 Issued in WV

Legal business name

HATEM M HOSSINO MD INC

Practice address

415 Morris St
Suite 101
Charleston, WV 25301-1842

Phone

(304) 343-8181

Fax

(304) 343-8247

NPI assigned

Jul 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hatem M Hossino, M.D.NPI 1497765598

Title

Owner

Phone

(304) 343-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hatem Mahmoud Hossino, M.D.

  • Surgery Physician
  • Charleston, WV
  • NPI 1497765598
  Medicare reassignment NPD Authorized official
• Kenan Hatem Hossino, DDS

  • Dentist
  • Charleston, WV
  • NPI 1275183998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1427361484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MORRIS ST",
            "address_2": "SUITE 101",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011842",
            "telephone_number": "304-343-8181",
            "fax_number": "304-343-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MORRIS ST",
            "address_2": "SUITE 101",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011842",
            "telephone_number": "304-343-8181",
            "fax_number": "304-343-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATEM M HOSSINO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "HOSSINO",
        "authorized_official_first_name": "HATEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-343-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "10690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127996000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Hass, MD
• Afshan Hassan, M.D
• Jessica Hassan
• Talha Hassan, MD
• Brad Warren Hatcher, RPH
• Jodi Ann Hatfield Casto
• Eva Gail Hatfield-Puckett
• Amanda Hatfield
• Dakota Hatfield, BA, TTS, ACEHC
• Jessica Hatfield

• Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.